| NPI | 1093385460 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: IL 036.170137) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: MI 5151015276) |
| 207P00000X Emergency Medicine (Licence: WI 81703-21) | |
| Enumeration Date | 2021-06-29 |
| Last Update Date | 2024-12-12 |